中醫藥對痛經的治療對策

The Role of Chinese Medicine in Treating Dysmenorrhea

10.6516/TJTCM.2014.17(2)93

趙品諭(Pin-Yu Jau)；徐維偵(Wei-Zhen Xu)；陳朝宗(Chao-Tsung Chen)；林舜穀(Shun-Ku Lin)

痛經 ； 經行腹痛 ； 溫經湯 ； 六味地黃丸 ； Dysmenorrhea ； Abdominal pain during menstruation ； Channel-Warming (Menses-Warming) Decoction ； Six-Ingredient Rehmannia Pill

中醫藥研究論叢

17卷2期（2014 / 09 / 30）

93 - 101

繁體中文

痛經是導因於子宮過度收縮及缺血，或骨盆腔病變的疾病，現代醫學通常使用非類固醇類的消炎止痛藥、荷爾蒙療法或手術治療，但常因為藥物與手術副作用無法繼續。中醫經行腹痛與腎脾肝三臟密切相關，常見病機有腎虛而精氣不足、脾虛無以生化氣血或肝失疏泄，共通點是臟腑虛弱導致胞宮衝任中氣血失於平和，而致不通則痛或不榮而痛，遂成痛經。本例病案報告一長期痛經29歲女性嚴重痛經的診治過程，詳細描述臨床症狀，病機推演與治療方法。經過4週中醫藥物溫經湯和六味地黃丸為主治療後，病患疼痛改善至幾乎消失，希望其治療成果可作為日後痛經患者治療參考。

Dysmenorrhea in reproductive age women is a disease resulting from abnormal uterine contractions, ischemia, or pelvic diseases. Western medicine usually uses NSAIDs, Hormonal therapy, or surgery to treat patients; however, they cause a few discomfortable side-effect after the treatment. Dysmenorrhea belongs to the category of abdominal pain during menstruation in Traditional Chinese Medicine. The attack of abdominal pain during menstruation is basically associated with the liver, the spleen and the kidney .The failure of liver's free coursing, the hypofunction of the spleen with being short of qi and blood, and the depletion of kidney essence are responsible for the disorder of qi and blood about Womb, Chong and Ren. Once being stagnation of qi or no nourishment in blood, women could feel pain. Here, we present a treatment case of a 29-year-old female who is with dysmenorrhea history and has severe dysmenorrhea in recently several menses . The treatment course includes sophisticated description of clinical manifestation and method. After intervention of Channel-Warming Decoction and Six-Ingredient Rehmannia Pill in four weeks to regulate qi and blood, the patient's symptoms improve significantly. It hopes that this clinical case can be provided as a reference.

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